Implementing Pathways to Anesthesiology: Promoting Diversity, Equity, Inclusion, and Success. O’Conor et al. International Anesthesiology Clinics (2023) 61:1.

Summary

An interesting review article that is relevant to our field. The article touches on what we constantly encounter: a gap between equality and equity for anesthesiologists from underrepresented minorities in Medicine (URiM). While there are “advertised” equal opportunities for anesthesiologists hired at different stages of their careers, there remains a gap between what is advertised as equality and what is actually exercised of equity.

The Research Committee would like to highlight some of the recent literature contributions of its members.

Adult acute respiratory distress syndrome (ARDS) remains a serious problem, accounting for or complicating close to 10% of all ICU admissions, and with an associated mortality in the 35-45% range. Robust clinical evidence for ventilatory management has helped to create established and accepted guidelines for parameters such as ideal tidal volume of 4-8 cc/kg predicted body weight, optimal PEEP to avoid hypoxemia and de-recruitment while minimizing barotrauma, and this has resulted in improved survival outcomes in patients with ARDS.

Wasserstein RL, Lazar NA. The ASA’s Statement on p-Values: Context, Process, and Purpose. The American Statistician. 2016;70(2):129-133.

Corticosteroids in Sepsis: An Updated Systematic Review and Meta-Analysis. Rochwerg B, Oczkowski SJ, Siemieniuk RAC, et al. Crit Care Med. 2018;46(9):1411-1420. This review and meta-analysis sought to further elucidate the efficacy and safety of steroids in sepsis given newly published randomized controlled trials in this arena. The authors searched published and unpublished sources for randomized […]

The European Society of Intensive Care Medicine (ESICM) recently published a consensus statement and clinical recommendations regarding the fluid management of neuro-intensive care patients (NIC), including comatose (GCS < 9) patients with severe traumatic brain injury (TBI), high-grade aneurysmal subarachnoid hemorrhage (SAH), severe arterial ischemic stroke (AIS) or intracerebral hemorrhage (ICH).